Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

Prisma Health North Greenville Ltach

Travelers Rest, SC · CCN 422008 · Rates published

26,664 distinct procedures filed
174 distinct payers
1,540,247 rate rows
2026-05-28 last MRF observed
Data quality

1,370,743 of 1,540,247 rate rows are consumer-grade (89.0%)

169,504 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
exceeds 10× this hospital's gross charge — excluded from medians 88,783
template filing: same amount across many unrelated codes — excluded 55,544
per-diem day rate — not a per-procedure price 20,190
placeholder amount (≤ $0.02) — excluded from medians 2,904
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,706
percent-of-charges filed in the dollar field — excluded from medians 377
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://prismahealth.org/getmedia/ee1679ef-85a0-49f5-b048-5ff466acaecf/811723202_prisma-health-north-greenville-ltach-hospital_standardcharges.zip
Found on page https://prismahealth.org/patients-and-guests/billing-and-insurance/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-15
Content fingerprint 2f19a18d5586267a… · 11,792,098 bytes · first seen 2026-05-05

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
APR-DRG 589-3
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 1 $2,200,031.76 $2,200,031.76 $2,200,031.76 nat. median
$111,405
outlier · 19.7×
MS-DRG 007
OTHER 		Lung Transplant 14 $756,996.52 $2,162,847.20 $1,784,348.94 nat. median
$1,103,052
1.6× median
18
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 38 $654,252.67 $2,288,048.80 $1,471,150.74 nat. median
$386,529
outlier · 3.8×
APR-DRG 591-3
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $1,423,762.44 $1,423,762.44 $1,423,762.44 nat. median
$1,215,223
1.2× median
APR-DRG 591-4
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $1,275,089.25 $1,275,089.25 $1,275,089.25 nat. median
$399,444
outlier · 3.2×
APR-DRG 611-4
OTHER 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 $1,246,960.77 $1,246,960.77 $1,246,960.77 nat. median
$1,064,318
1.2× median
APR-DRG 609-4
OTHER 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 $1,047,400.64 $1,047,400.64 $1,047,400.64 nat. median
$404,214
outlier · 2.6×
APR-DRG 588-4
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $1,022,559.01 $1,022,559.01 $1,022,559.01 nat. median
$426,710
outlier · 2.4×
MS-DRG 018
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 23 $458,389.23 $2,860,061.00 $1,001,021.35 nat. median
$1,016,604
1.0× median
APR-DRG 588-3
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $990,764.98 $990,764.98 $990,764.98 nat. median
$412,453
outlier · 2.4×
7
OTHER 		Lung Transplant 24 $217,826.73 $1,730,277.76 $974,052.24 nat. median
$169,933
outlier · 5.7×
APR-DRG 588-2
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $787,408.46 $787,408.46 $787,408.46 nat. median
$321,266
outlier · 2.5×
MS-DRG 001
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $296,307.21 $846,592.03 $698,438.43 nat. median
$318,017
outlier · 2.2×
APR-DRG 612-3
OTHER 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 $643,829.95 $643,829.95 $643,829.95 nat. median
$121,236
outlier · 5.3×
APR-DRG 608-3
OTHER 		Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 $641,687.83 $641,687.83 $641,687.83 nat. median
$547,699
1.2× median
Q2056
CPT 		Hc Ciltacabtagene Car-pos T (Carvykti) 30 Ml 94 $4,903.67 $2,582,193.36 $611,155.56 nat. median
$674,867
0.9× median
MS-DRG 002
OTHER 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 $49,022.11 $752,886.92 $602,309.54 nat. median
$372,679
1.6× median
Q2042
HCPCS 		Tisagenlecleucel IV Up To 600 Million Car Pos 95 $399,062.20 $2,409,921.09 $589,192.56 nat. median
$753,246
0.8× median
Q2054
HCPCS 		Hc Lisocabtagene Mara Car Pos T (Breyanzi) 95 $455,372.61 $2,749,977.43 $584,689.29 nat. median
$673,137
0.9× median
Q2055
HCPCS 		Hc Idecabtagene Vicleucel Car 50ml (Abecma) 95 $444,144.86 $2,682,173.51 $580,405.00 nat. median
$625,184
0.9× median
1
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 24 $481,216.94 $677,273.62 $579,245.28 nat. median
$239,422
outlier · 2.4×
Q2041
HCPCS 		Hc Axicabtagene Ciloleucel Car+ (Yescarta) 95 $448,012.18 $2,705,528.10 $553,479.93 nat. median
$634,303
0.9× median
APR-DRG 612-4
OTHER 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 $531,886.58 $531,886.58 $531,886.58 nat. median
$174,700
outlier · 3.0×
Q2053
HCPCS 		Hc Brexucabtagene Autoleucel Up To 100 Million Car Pos (Tecartus) All 95 $377,084.40 $2,482,145.82 $513,922.71 nat. median
$619,808
0.8× median
4
OTHER 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 39 $261,042.60 $759,369.02 $510,205.81 nat. median
$134,983
outlier · 3.8×
APR-DRG 591-2
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $500,638.96 $500,638.96 $500,638.96 nat. median
$427,310
1.2× median
MS-DRG 104
OTHER 		Cardiac Valve & Oth Major Cardiothoracic Proc W Card Cath 14 $209,845.86 $599,559.59 $494,636.66 nat. median
$422,690
1.2× median
MS-DRG 006
OTHER 		Liver Transplant Without Mcc 14 $76,871.66 $613,006.45 $490,405.16 nat. median
$294,243
1.7× median
MS-DRG 008
OTHER 		Simultaneous Pancreas And Kidney Transplant 14 $207,179.14 $591,940.40 $488,350.83 nat. median
$284,131
1.7× median
MS-DRG 237
OTHER 		Major Cardiovasc Procedures W Mcc 23 $183,872.79 $715,523.45 $429,314.07 nat. median
$264,028
1.6× median
APR-DRG 608-1
OTHER 		Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 $420,984.60 $420,984.60 $420,984.60 nat. median
$61,057
outlier · 6.9×
2
OTHER 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 24 $214,884.15 $602,309.54 $408,596.84 nat. median
$111,558
outlier · 3.7×
MS-DRG 005
OTHER 		Liver Transplant With Mcc Or Intestinal Transplant 14 $165,746.86 $473,562.45 $390,689.02 nat. median
$234,413
1.7× median
APR-DRG 607-4
OTHER 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 $14,507.58 $1,161,021.73 $375,273.58 nat. median
$327,224
1.1× median
APR-DRG 621-4
OTHER 		Neonate Birth Weight 2000-2499 Grams With Major Anomaly 8 $27,976.40 $1,131,950.74 $366,209.19 nat. median
$319,158
1.1× median
969
OTHER 		HIV With Extensive O.r. Procedures With Mcc 39 $120,161.70 $592,708.51 $356,435.10 nat. median
$64,729
outlier · 5.5×
3
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 39 $187,683.29 $516,079.53 $351,881.41 nat. median
$181,005
1.9× median
927
OTHER 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 39 $135,877.24 $565,788.78 $350,833.01 nat. median
$146,562
outlier · 2.4×
APR-DRG 631-4
OTHER 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 $343,899.59 $343,899.59 $343,899.59 nat. median
$295,269
1.2× median
MS-DRG 213
OTHER 		Amputation For Musculoskeletal System & Conn Tissue Disorders 14 $133,848.96 $382,425.60 $315,501.12 nat. median
$268,845
1.2× median
APR-DRG 608-4
OTHER 		Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 $303,272.35 $303,272.35 $303,272.35 nat. median
$258,852
1.2× median
MS-DRG 010
OTHER 		Pancreas Transplant 14 $127,367.92 $363,908.35 $300,224.39 nat. median
$174,676
1.7× median
APR-DRG 612-2
OTHER 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 $299,022.35 $299,022.35 $299,022.35 nat. median
$57,859
outlier · 5.2×
MS-DRG 105
OTHER 		Cardiac Valve & Oth Major Cardiothoracic Proc Without Card Cath 14 $22,615.75 $372,415.27 $297,932.22 nat. median
$261,808
1.1× median
6
OTHER 		Liver Transplant Without Mcc 24 $85,893.68 $490,405.16 $288,149.42 nat. median
$52,924
outlier · 5.4×
APR-DRG 612-1
OTHER 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 $284,884.30 $284,884.30 $284,884.30 nat. median
$58,020
outlier · 4.9×
207
OTHER 		Respiratory System Diagnosis With Ventilator Support >96 Hours 39 $122,672.27 $446,384.20 $284,528.23 nat. median
$66,849
outlier · 4.3×
8
OTHER 		Simultaneous Pancreas And Kidney Transplant 24 $93,437.27 $473,552.32 $283,494.79 nat. median
$57,589
outlier · 4.9×
5
OTHER 		Liver Transplant With Mcc Or Intestinal Transplant 24 $183,795.30 $378,849.96 $281,322.63 nat. median
$94,894
outlier · 3.0×
268
OTHER 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 39 $121,725.76 $432,603.33 $277,164.54 nat. median
$67,670
outlier · 4.1×

Other procedures at this hospital

Browse this hospital's 26,664 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
APR-DRG 589-3 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 1 1 $2,588,272.66 $1,682,377.00 35% off $2,200,031.76 $2,200,031.76 $2,200,031.76 2026-05-28
MS-DRG 007 OTHER Lung Transplant 14 14 $2,162,847.20 $1,405,851.00 35% off $756,996.52 $2,162,847.20 $1,784,348.94 2026-05-28
18 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 47 38 — — $654,252.67 $2,288,048.80 $1,471,150.74 2026-05-06
APR-DRG 591-3 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 $1,675,014.64 $1,088,760.00 35% off $1,423,762.44 $1,423,762.44 $1,423,762.44 2026-05-28
APR-DRG 591-4 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 $1,500,105.00 $975,068.00 35% off $1,275,089.25 $1,275,089.25 $1,275,089.25 2026-05-28
APR-DRG 611-4 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 1 $1,467,012.67 $953,558.00 35% off $1,246,960.77 $1,246,960.77 $1,246,960.77 2026-05-28
APR-DRG 609-4 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 $1,232,236.05 $800,953.00 35% off $1,047,400.64 $1,047,400.64 $1,047,400.64 2026-05-28
APR-DRG 588-4 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 $1,203,010.60 $781,957.00 35% off $1,022,559.01 $1,022,559.01 $1,022,559.01 2026-05-28
MS-DRG 018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 23 23 $2,860,061.00 $1,859,040.00 35% off $458,389.23 $2,860,061.00 $1,001,021.35 2026-05-28
APR-DRG 588-3 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 $1,165,605.86 $757,644.00 35% off $990,764.98 $990,764.98 $990,764.98 2026-05-28
7 OTHER Lung Transplant 29 24 — — $217,826.73 $1,730,277.76 $974,052.24 2026-05-06
APR-DRG 588-2 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 $926,362.89 $602,136.00 35% off $787,408.46 $787,408.46 $787,408.46 2026-05-28
MS-DRG 001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 14 14 $846,592.03 $550,285.00 35% off $296,307.21 $846,592.03 $698,438.43 2026-05-28
APR-DRG 612-3 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 1 $757,447.00 $492,341.00 35% off $643,829.95 $643,829.95 $643,829.95 2026-05-28
APR-DRG 608-3 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 1 $754,926.86 $490,702.00 35% off $641,687.83 $641,687.83 $641,687.83 2026-05-28
Q2056 CPT Hc Ciltacabtagene Car-pos T (Carvykti) 30 Ml 111 94 $2,776,552.00 $1,804,758.80 35% off $4,903.67 $2,582,193.36 $611,155.56 2026-03-01
MS-DRG 002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 14 $752,886.92 $489,376.00 35% off $49,022.11 $752,886.92 $602,309.54 2026-05-28
Q2042 HCPCS Tisagenlecleucel IV Up To 600 Million Car Pos 112 95 $2,591,313.00 $1,684,353.45 35% off $399,062.20 $2,409,921.09 $589,192.56 2026-03-01
Q2054 HCPCS Hc Lisocabtagene Mara Car Pos T (Breyanzi) 112 95 $2,956,964.98 $1,922,027.24 35% off $455,372.61 $2,749,977.43 $584,689.29 2026-03-01
Q2055 HCPCS Hc Idecabtagene Vicleucel Car 50ml (Abecma) 112 95 $2,884,057.54 $1,874,637.40 35% off $444,144.86 $2,682,173.51 $580,405.00 2026-03-01
1 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 29 24 — — $481,216.94 $677,273.62 $579,245.28 2026-05-06
Q2041 HCPCS Hc Axicabtagene Ciloleucel Car+ (Yescarta) 112 95 $2,909,170.00 $1,890,960.50 35% off $448,012.18 $2,705,528.10 $553,479.93 2026-03-01
APR-DRG 612-4 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 1 $625,748.92 $406,737.00 35% off $531,886.58 $531,886.58 $531,886.58 2026-05-28
Q2053 HCPCS Hc Brexucabtagene Autoleucel Up To 100 Million Car Pos (Tecartus) All 145 95 $2,668,974.00 $1,734,833.10 35% off $377,084.40 $2,482,145.82 $513,922.71 2026-03-01
4 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 49 39 — — $261,042.60 $759,369.02 $510,205.81 2026-05-06
APR-DRG 591-2 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 $588,987.01 $382,842.00 35% off $500,638.96 $500,638.96 $500,638.96 2026-05-28
MS-DRG 104 OTHER Cardiac Valve & Oth Major Cardiothoracic Proc W Card Cath 14 14 $599,559.59 $389,714.00 35% off $209,845.86 $599,559.59 $494,636.66 2026-05-28
MS-DRG 006 OTHER Liver Transplant Without Mcc 14 14 $613,006.45 $398,454.00 35% off $76,871.66 $613,006.45 $490,405.16 2026-05-28
MS-DRG 008 OTHER Simultaneous Pancreas And Kidney Transplant 14 14 $591,940.40 $384,761.00 35% off $207,179.14 $591,940.40 $488,350.83 2026-05-28
MS-DRG 237 OTHER Major Cardiovasc Procedures W Mcc 23 23 $715,523.45 $465,090.00 35% off $183,872.79 $715,523.45 $429,314.07 2026-05-28
APR-DRG 608-1 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 1 $495,276.00 $321,929.00 35% off $420,984.60 $420,984.60 $420,984.60 2026-05-28
2 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 29 24 — — $214,884.15 $602,309.54 $408,596.84 2026-05-06
MS-DRG 005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 14 14 $473,562.45 $307,816.00 35% off $165,746.86 $473,562.45 $390,689.02 2026-05-28
APR-DRG 607-4 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 8 $1,365,907.92 $887,840.00 35% off $14,507.58 $1,161,021.73 $375,273.58 2026-05-28
APR-DRG 621-4 OTHER Neonate Birth Weight 2000-2499 Grams With Major Anomaly 8 8 $1,331,706.75 $865,609.00 35% off $27,976.40 $1,131,950.74 $366,209.19 2026-05-28
969 OTHER HIV With Extensive O.r. Procedures With Mcc 49 39 — — $120,161.70 $592,708.51 $356,435.10 2026-05-06
3 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 49 39 — — $187,683.29 $516,079.53 $351,881.41 2026-05-06
927 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 49 39 — — $135,877.24 $565,788.78 $350,833.01 2026-05-06
APR-DRG 631-4 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 $404,587.75 $262,982.00 35% off $343,899.59 $343,899.59 $343,899.59 2026-05-28
MS-DRG 213 OTHER Amputation For Musculoskeletal System & Conn Tissue Disorders 14 14 $382,425.60 $248,577.00 35% off $133,848.96 $382,425.60 $315,501.12 2026-05-28
APR-DRG 608-4 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 1 $356,791.00 $231,914.00 35% off $303,272.35 $303,272.35 $303,272.35 2026-05-28
MS-DRG 010 OTHER Pancreas Transplant 14 14 $363,908.35 $236,540.00 35% off $127,367.92 $363,908.35 $300,224.39 2026-05-28
APR-DRG 612-2 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 1 $351,791.00 $228,664.00 35% off $299,022.35 $299,022.35 $299,022.35 2026-05-28
MS-DRG 105 OTHER Cardiac Valve & Oth Major Cardiothoracic Proc Without Card Cath 14 14 $372,415.27 $242,070.00 35% off $22,615.75 $372,415.27 $297,932.22 2026-05-28
6 OTHER Liver Transplant Without Mcc 29 24 — — $85,893.68 $490,405.16 $288,149.42 2026-05-06
APR-DRG 612-1 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 1 $335,158.00 $217,853.00 35% off $284,884.30 $284,884.30 $284,884.30 2026-05-28
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 49 39 — — $122,672.27 $446,384.20 $284,528.23 2026-05-06
8 OTHER Simultaneous Pancreas And Kidney Transplant 29 24 — — $93,437.27 $473,552.32 $283,494.79 2026-05-06
5 OTHER Liver Transplant With Mcc Or Intestinal Transplant 29 24 — — $183,795.30 $378,849.96 $281,322.63 2026-05-06
268 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 49 39 — — $121,725.76 $432,603.33 $277,164.54 2026-05-06
APR-DRG 593-4 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 8 8 $990,884.00 $644,075.00 35% off $19,979.89 $842,251.40 $265,108.60 2026-05-28
APR-DRG 611-1 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 1 $307,680.00 $199,992.00 35% off $261,528.00 $261,528.00 $261,528.00 2026-05-28
MS-DRG 927 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 23 23 $465,667.50 $302,684.00 35% off $110,913.37 $465,667.50 $258,157.52 2026-05-28
APR-DRG 608-2 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 1 $303,433.00 $197,231.00 35% off $257,918.05 $257,918.05 $257,918.05 2026-05-28
MS-DRG 004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 23 23 $949,211.27 $616,987.00 35% off $83,492.06 $949,211.27 $254,515.89 2026-05-28
570 OTHER Skin Debridement With Mcc 49 39 — — $51,892.42 $449,415.11 $250,653.77 2026-05-06
MS-DRG 003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 23 23 $645,099.41 $419,315.00 35% off $9,987.87 $645,099.41 $233,851.32 2026-05-28
837 OTHER Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 49 39 — — $86,019.76 $374,649.90 $230,334.83 2026-05-06
APR-DRG 609-3 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 $269,569.61 $175,220.00 35% off $229,134.17 $229,134.17 $229,134.17 2026-05-28
APR-DRG 602-4 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 8 $861,472.00 $559,957.00 35% off $25,399.65 $732,251.20 $227,142.61 2026-05-28
163 OTHER Major Chest Procedures With Mcc 49 39 — — $83,704.11 $368,003.46 $225,853.79 2026-05-06
653 OTHER Major Bladder Procedures With Mcc 49 39 — — $96,134.71 $346,102.22 $221,118.46 2026-05-06
20 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 49 39 — — $113,008.09 $309,746.98 $211,377.54 2026-05-06
461 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 49 39 — — $109,199.59 $299,185.13 $204,192.36 2026-05-06
MS-DRG 402 OTHER Lymphoma & Non-acute Leukemia W Other O.r. Proc Without Cc 14 14 $253,839.77 $164,996.00 35% off $23,444.20 $253,839.77 $203,071.82 2026-05-28
21 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 49 39 — — $105,018.70 $295,555.84 $200,287.27 2026-05-06
APR-DRG 622-4 OTHER Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 8 8 $769,040.26 $499,876.00 35% off $63,322.21 $653,684.22 $200,134.61 2026-05-28
471 OTHER Cervical Spinal Fusion With Mcc 49 39 — — $87,351.60 $311,469.55 $199,410.58 2026-05-06
326 OTHER Stomach, Esophageal And Duodenal Procedures With Mcc 49 39 — — $90,192.88 $304,865.89 $197,529.39 2026-05-06
APR-DRG 583-2 OTHER Neonate With Ecmo 8 8 $753,940.60 $490,061.00 35% off $27,002.45 $640,849.51 $196,226.57 2026-05-28
MS-DRG 207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 23 23 $557,980.25 $362,687.00 35% off $70,209.86 $557,980.25 $195,293.09 2026-05-28
APR-DRG 593-3 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 8 8 $752,808.00 $489,325.00 35% off $19,979.89 $639,886.80 $195,179.97 2026-05-28
MS-DRG 969 OTHER HIV With Extensive O.r. Procedures With Mcc 23 23 $740,885.64 $481,576.00 35% off $71,627.25 $740,885.64 $192,931.13 2026-05-28
APR-DRG 631-2 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 $226,378.40 $147,146.00 35% off $192,421.64 $192,421.64 $192,421.64 2026-05-28
MS-DRG 650 OTHER Kidney Transplant With Hemodialysis With Mcc 14 14 $236,647.50 $153,821.00 35% off $10,316.12 $236,647.50 $189,318.00 2026-05-28
MS-DRG 268 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 23 23 $540,754.16 $351,490.00 35% off $85,230.79 $540,754.16 $189,263.96 2026-05-28
10 OTHER Pancreas Transplant 29 24 — — $85,479.90 $291,126.68 $188,303.29 2026-05-06
PX-8120000001 CDM Hc Cadaver Donor Sac- Liver 38 32 $269,900.00 $175,435.00 35% off $41,564.60 $251,007.00 $187,310.60 2026-03-01
MS-DRG 277 OTHER Cellulitis Age >17 W Cc 14 14 $232,912.00 $151,393.00 35% off $21,378.23 $232,912.00 $186,329.60 2026-05-28
APR-DRG 607-3 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 8 $715,283.00 $464,934.00 35% off $14,507.58 $607,990.55 $184,169.42 2026-05-28
215 OTHER Other Heart Assist System Implant 49 39 — — $99,456.19 $268,102.88 $183,779.54 2026-05-06
APR-DRG 602-2 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 8 $713,583.00 $463,829.00 35% off $25,399.65 $606,545.55 $183,704.07 2026-05-28
MS-DRG 238 OTHER Major Cardiovasc Procedures Without Mcc 23 23 $300,874.70 $195,569.00 35% off $63,316.41 $300,874.70 $180,524.82 2026-05-28
456 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 49 39 — — $95,135.23 $260,402.15 $177,768.69 2026-05-06
APR-DRG 603-4 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 8 $693,353.30 $450,680.00 35% off $14,952.51 $589,350.31 $177,703.40 2026-05-28
22 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 49 39 — — $67,077.60 $286,082.92 $176,580.26 2026-05-06
APR-DRG 589-1 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 1 1 $207,541.00 $134,902.00 35% off $176,409.85 $176,409.85 $176,409.85 2026-05-28
MS-DRG 651 OTHER Kidney Transplant With Hemodialysis Without Mcc 14 14 $219,147.25 $142,446.00 35% off $9,264.96 $219,147.25 $175,317.80 2026-05-28
Rx64406005801_J2326_100094_000 OTHER Nusinersen Pf 12 Mg 5 Ml Intrathecal Solution 5 Ml 82 61 $418,481.00 $272,012.65 35% off $787.50 $418,481.00 $175,275.75 2026-05-28
MS-DRG 230 OTHER Other Cardiothoracic Procedures Without Cc/mcc 23 23 $288,760.15 $187,694.00 35% off $59,424.84 $288,760.15 $173,256.09 2026-05-28
231 OTHER Coronary Bypass With Ptca With Mcc 49 39 — — $91,341.43 $250,048.24 $170,694.83 2026-05-06
356 OTHER Other Digestive System O.r. Procedures With Mcc 49 39 — — $75,981.16 $264,271.64 $170,126.40 2026-05-06
APR-DRG 003-4 OTHER Bone Marrow Transplant 16 16 $3,877,567.58 $2,520,419.00 35% off $4,323.71 $3,295,932.44 $169,969.06 2026-05-28
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 49 39 — — $88,953.56 $243,046.92 $166,000.24 2026-05-06
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 49 39 — — $88,565.53 $241,945.65 $165,255.59 2026-05-06
APR-DRG 636-4 OTHER Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 1 1 $193,245.48 $125,610.00 35% off $164,258.66 $164,258.66 $164,258.66 2026-05-28
MS-DRG 215 OTHER Other Heart Assist System Implant 23 23 $335,128.60 $217,834.00 35% off $74,221.35 $335,128.60 $162,932.79 2026-05-28
MS-DRG 163 OTHER Major Chest Procedures With Mcc 23 23 $460,004.33 $299,003.00 35% off $61,283.23 $460,004.33 $161,001.52 2026-05-28
MS-DRG 020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 23 23 $387,183.73 $251,669.00 35% off $87,970.74 $387,183.73 $159,516.25 2026-05-28
MS-DRG 129 OTHER Major Head & Neck Procedures W Cc/mcc Or Major Device 23 23 $309,506.05 $201,179.00 35% off $37,864.00 $309,506.05 $157,848.09 2026-05-28
23 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 49 39 — — $83,918.13 $229,530.84 $156,724.48 2026-05-06
APR-DRG 630-1 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 8 $619,098.30 $402,414.00 35% off $24,686.71 $526,233.56 $156,292.70 2026-05-28
MS-DRG 216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 23 $303,808.65 $197,476.00 35% off $63,676.96 $303,808.65 $154,922.26 2026-05-28
APR-DRG 633-4 OTHER Neonate Birth Weight > 2499 Grams With Major Anomaly 1 1 $179,679.00 $116,791.00 35% off $152,727.15 $152,727.15 $152,727.15 2026-05-28
Rx71336100301_J0225_100094_000 OTHER Vutrisiran 25 Mg 0.5 Ml Subcutaneous Syringe 0.5 M 56 38 $459,740.10 $298,831.07 35% off $87,601.50 $459,740.10 $152,065.27 2026-05-06
212 OTHER Hip & Femur Procedures Except Major Joint Age 0-17 49 39 — — $44,092.50 $259,819.52 $151,956.01 2026-05-06
APR-DRG 603-2 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 8 $591,272.21 $384,327.00 35% off $14,952.51 $502,581.38 $147,719.74 2026-05-28
MS-DRG 399 OTHER Reticuloendothelial & Immunity Disorders Without Cc 14 14 $180,382.64 $117,249.00 35% off $14,840.36 $180,382.64 $144,306.11 2026-05-28
MS-DRG 652 OTHER Kidney Transplant 14 14 $177,139.02 $115,140.00 35% off $10,209.57 $177,139.02 $141,711.22 2026-05-28
970 OTHER HIV With Extensive O.r. Procedures Without Mcc 49 39 — — $49,360.14 $232,256.88 $140,808.51 2026-05-06
347 OTHER Anal And Stomal Procedures With Mcc 49 39 — — $44,969.20 $235,994.58 $140,481.89 2026-05-06
MS-DRG 570 OTHER Skin Debridement With Mcc 23 23 $561,768.89 $365,150.00 35% off $34,782.41 $561,768.89 $139,892.87 2026-05-28
650 OTHER Kidney Transplant With Hemodialysis With Mcc 29 24 — — $89,842.35 $189,318.00 $139,580.17 2026-05-06
PX-8120000000 CDM Hc Cadaver Donor Sac- Kidney 38 32 $194,370.00 $126,340.50 35% off $29,932.98 $180,764.10 $134,892.78 2026-03-01
MS-DRG 231 OTHER Coronary Bypass With Ptca With Mcc 23 23 $312,560.30 $203,164.00 35% off $66,167.14 $312,560.30 $134,500.11 2026-05-28
Rx24338005008_C9399_100094_000 OTHER Carmustine In Polifeprosan 77 Mg Wafer For Implant 64 47 $1,025,807.40 $666,774.98 35% off $10.04 $1,902,341.00 $132,107.31 2026-05-28
MS-DRG 461 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 23 23 $373,981.41 $243,088.00 35% off $74,440.01 $373,981.41 $130,893.49 2026-05-28
849 OTHER Radiotherapy 49 39 — — $47,793.88 $212,886.40 $130,340.14 2026-05-06
MS-DRG 021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 23 23 $369,444.80 $240,139.00 35% off $82,718.36 $369,444.80 $129,305.68 2026-05-28
277 OTHER Cellulitis Age >17 W Cc 49 39 — — $69,054.62 $186,329.60 $127,692.11 2026-05-06
APR-DRG 614-3 OTHER Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 8 8 $521,161.00 $338,755.00 35% off $41,860.38 $442,986.85 $127,680.34 2026-05-28
197 OTHER Interstitial Lung Disease With Cc 49 39 — — $17,713.61 $236,933.53 $127,323.57 2026-05-06
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 49 39 — — $63,124.92 $186,421.14 $124,773.03 2026-05-06
MS-DRG 219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 23 $302,432.06 $196,581.00 35% off $63,320.71 $302,432.06 $124,341.50 2026-05-28
11 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 49 39 — — $65,665.05 $180,115.88 $122,890.46 2026-05-06
MS-DRG 212 OTHER Hip & Femur Procedures Except Major Joint Age 0-17 14 14 $148,868.05 $96,764.00 35% off $52,103.82 $148,868.05 $122,816.14 2026-05-28
485 OTHER Knee Procedures With Principal Diagnosis Of Infection With Mcc 49 39 — — $58,494.86 $187,111.74 $122,803.30 2026-05-06
802 OTHER Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 49 39 — — $60,924.15 $184,119.26 $122,521.71 2026-05-06
MS-DRG 531 OTHER Spinal Procedures W Cc 14 14 $152,879.40 $99,372.00 35% off $7,937.19 $152,879.40 $122,303.52 2026-05-28
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 29 24 — — $67,713.75 $175,317.80 $121,515.77 2026-05-06
MS-DRG 016 OTHER Autologous Bone Marrow Transplant With Cc/mcc 22 22 $176,947.00 $115,016.00 35% off $26,041.64 $176,947.00 $118,554.49 2026-05-28
APR-DRG 003-2 OTHER Bone Marrow Transplant 16 16 $876,743.76 $569,883.00 35% off $3,043.09 $745,232.20 $116,432.23 2026-05-28
MS-DRG 356 OTHER Other Digestive System O.r. Procedures With Mcc 23 23 $330,339.55 $214,721.00 35% off $52,727.47 $330,339.55 $115,618.84 2026-05-28
269 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 49 39 — — $63,827.22 $167,214.62 $115,520.92 2026-05-06
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 49 39 — — $52,810.42 $178,021.17 $115,415.79 2026-05-06
APR-DRG 607-2 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 8 $480,104.00 $312,068.00 35% off $14,507.58 $408,088.40 $115,091.71 2026-05-28
PX-8110000000 CDM Hc Living Donor Sac- Kidney 38 32 $165,000.00 $107,250.00 35% off $25,410.00 $153,450.00 $114,510.00 2026-03-01
40 OTHER Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 49 39 — — $61,062.08 $167,148.60 $114,105.34 2026-05-06
MS-DRG 456 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 23 $325,502.69 $211,577.00 35% off $12,552.35 $325,502.69 $113,925.94 2026-05-28
MS-DRG 112 OTHER No Longer Valid 14 14 $137,461.40 $89,350.00 35% off $48,111.49 $137,461.40 $113,405.65 2026-05-28
870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 49 39 — — $60,042.95 $165,912.52 $112,977.74 2026-05-06
432 OTHER Cirrhosis And Alcoholic Hepatitis With Mcc 49 39 — — $34,024.32 $191,792.42 $112,908.37 2026-05-06
MS-DRG 837 OTHER Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 23 23 $468,312.38 $304,403.00 35% off $2,028.00 $468,312.38 $112,518.73 2026-05-28
Rx68382039601_J3490_100094_000 OTHER Sodium Benzoate 10 -sodium Phenylacetate 10 Intra 56 44 $284,700.00 $185,055.00 35% off $2,230.27 $284,700.00 $112,478.40 2026-05-28
MS-DRG 453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 23 23 $273,655.62 $177,876.00 35% off $14,087.73 $273,655.62 $112,461.12 2026-05-28
955 OTHER Craniotomy For Multiple Significant Trauma 49 39 — — $59,745.43 $162,854.95 $111,300.19 2026-05-06
APR-DRG 603-3 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 8 $463,918.66 $301,547.00 35% off $14,952.51 $394,330.86 $110,312.96 2026-05-28
MS-DRG 233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 23 23 $215,419.13 $140,022.00 35% off $37,648.40 $215,419.13 $109,863.76 2026-05-28
327 OTHER Stomach, Esophageal And Duodenal Procedures With Cc 49 39 — — $44,348.83 $172,324.25 $108,336.54 2026-05-06
APR-DRG 004-3 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 16 16 $2,472,853.65 $1,607,355.00 35% off $4,458.34 $2,101,925.60 $107,138.75 2026-05-28
239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 49 39 — — $57,183.03 $156,738.40 $106,960.71 2026-05-06
APR-DRG 004-2 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 16 16 — $3,782,003.00 $4,256.22 $4,945,695.78 $106,848.24 2026-05-28
745 OTHER D&c, Conization, Laparoscopy And Tubal Interruption Without Cc/mcc 49 39 — — $18,395.51 $194,587.44 $106,491.48 2026-05-06
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 49 39 — — $44,112.31 $168,547.95 $106,330.13 2026-05-06
232 OTHER Coronary Bypass With Ptca Without Mcc 49 39 — — $57,137.54 $155,398.09 $106,267.82 2026-05-06
503 OTHER Foot Procedures With Mcc 49 39 — — $47,625.18 $163,349.95 $105,487.57 2026-05-06
MS-DRG 107 OTHER No Longer Valid 14 14 $131,788.55 $85,663.00 35% off $10,918.20 $131,788.55 $105,430.84 2026-05-28
APR-DRG 004-4 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 16 16 $795,413.19 $517,019.00 35% off $4,458.34 $676,101.21 $105,245.04 2026-05-28
MS-DRG 197 OTHER Interstitial Lung Disease With Cc 23 23 $296,166.91 $192,508.00 35% off $12,325.68 $296,166.91 $103,658.42 2026-05-28
266 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 49 39 — — $56,992.29 $149,906.89 $103,449.59 2026-05-06
APR-DRG 003-3 OTHER Bone Marrow Transplant 16 16 $777,830.26 $505,590.00 35% off $3,373.42 $661,155.72 $102,356.90 2026-05-28
APR-DRG 631-3 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 $120,175.80 $78,114.00 35% off $102,149.43 $102,149.43 $102,149.43 2026-05-28
MS-DRG 653 OTHER Major Bladder Procedures With Mcc 23 23 $432,627.77 $281,208.00 35% off $40,662.81 $432,627.77 $101,935.14 2026-05-28
MS-DRG 970 OTHER HIV With Extensive O.r. Procedures Without Mcc 23 23 $290,321.10 $188,709.00 35% off $36,581.68 $290,321.10 $101,612.39 2026-05-28
MS-DRG 223 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 23 23 $290,106.23 $188,569.00 35% off $60,093.85 $290,106.23 $101,537.18 2026-05-28
959 OTHER Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 49 39 — — $44,970.36 $157,666.97 $101,318.66 2026-05-06
C1823 HCPCS Hc Remede System 1001 78 31 $151,250.00 $98,312.50 35% off $22,233.75 $147,056.25 $101,200.00 2026-03-01
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 49 39 — — $48,353.99 $154,020.92 $101,187.46 2026-05-06
140 OTHER Major Head And Neck Procedures With Mcc 49 39 — — $54,116.89 $147,696.34 $100,906.62 2026-05-06
652 OTHER Kidney Transplant 29 24 — — $59,892.30 $141,711.22 $100,801.76 2026-05-06
MS-DRG 226 OTHER Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 23 23 $197,034.50 $128,072.00 35% off $32,702.27 $197,034.50 $100,487.60 2026-05-28
MS-DRG 120 OTHER Other Circulatory System O.r. Procedures 14 14 $122,985.83 $79,941.00 35% off $4,541.36 $122,985.83 $98,388.66 2026-05-28
288 OTHER Acute And Subacute Endocarditis With Mcc 49 39 — — $46,046.49 $150,178.87 $98,112.68 2026-05-06
908 OTHER Other O.r. Procedures For Injuries With Cc 49 39 — — $35,588.81 $159,216.24 $97,402.52 2026-05-06
MS-DRG 955 OTHER Craniotomy For Multiple Significant Trauma 23 23 $203,377.17 $132,195.00 35% off $34,309.97 $203,377.17 $97,053.84 2026-05-28
314 OTHER Other Circulatory System Diagnoses With Mcc 49 39 — — $37,176.37 $156,411.64 $96,794.01 2026-05-06
500 OTHER Soft Tissue Procedures With Mcc 49 39 — — $51,655.43 $141,551.58 $96,603.51 2026-05-06
16 OTHER Autologous Bone Marrow Transplant With Cc/mcc 46 37 — — $51,595.58 $141,557.60 $96,576.59 2026-05-06
MS-DRG 222 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 23 23 $159,375.10 $103,594.00 35% off $21,506.63 $159,375.10 $95,625.06 2026-05-28
673 OTHER Other Kidney And Urinary Tract Procedures With Mcc 49 39 — — $50,990.57 $139,756.90 $95,373.74 2026-05-06
841 OTHER Lymphoma And Non-acute Leukemia With Cc 49 39 — — $27,942.22 $158,810.44 $93,376.33 2026-05-06
823 OTHER Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 49 39 — — $49,808.00 $136,344.24 $93,076.12 2026-05-06
267 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 49 39 — — $52,625.50 $133,371.04 $92,998.27 2026-05-06
12 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 49 39 — — $49,765.64 $136,091.66 $92,928.65 2026-05-06
820 OTHER Lymphoma And Leukemia With Major O.r. Procedures With Mcc 49 39 — — $46,784.11 $138,861.86 $92,822.99 2026-05-06
APR-DRG 593-2 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 8 8 $403,301.00 $262,146.00 35% off $19,979.89 $342,805.85 $92,521.38 2026-05-28
MS-DRG 957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 23 23 $179,465.74 $116,653.00 35% off $27,269.13 $179,465.74 $91,527.53 2026-05-28
242 OTHER Permanent Cardiac Pacemaker Implant With Mcc 49 39 — — $48,635.55 $132,312.54 $90,474.04 2026-05-06
MS-DRG 471 OTHER Cervical Spinal Fusion With Mcc 23 23 $389,336.94 $253,069.00 35% off $45,154.18 $389,336.94 $89,393.23 2026-05-28
929 OTHER Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 49 39 — — $47,483.56 $129,608.30 $88,545.93 2026-05-06
329 OTHER Major Small And Large Bowel Procedures With Mcc 49 39 — — $47,428.87 $129,654.39 $88,541.63 2026-05-06
928 OTHER Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 49 39 — — $17,476.54 $159,291.76 $88,384.15 2026-05-06
235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 49 39 — — $35,682.60 $140,338.17 $88,010.38 2026-05-06
405 OTHER Pancreas, Liver And Shunt Procedures With Mcc 49 39 — — $46,276.76 $129,474.49 $87,875.62 2026-05-06
MS-DRG 023 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 23 23 $286,913.55 $186,494.00 35% off $9,596.95 $286,913.55 $87,526.38 2026-05-28
APR-DRG 602-1 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 8 $385,006.00 $250,254.00 35% off $25,399.65 $327,255.10 $87,193.11 2026-05-28
MS-DRG 326 OTHER Stomach, Esophageal And Duodenal Procedures With Mcc 23 23 $381,082.36 $247,704.00 35% off $36,624.59 $381,082.36 $86,755.01 2026-05-28
MS-DRG 266 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 23 23 $187,383.61 $121,799.00 35% off $23,672.55 $187,383.61 $86,266.29 2026-05-28
234 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 49 39 — — $44,546.13 $126,886.77 $85,716.45 2026-05-06
70 OTHER Nonspecific Cerebrovascular Disorders With Mcc 49 39 — — $31,777.94 $138,654.14 $85,216.04 2026-05-06
MS-DRG 267 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 23 23 $166,713.80 $108,364.00 35% off $26,408.29 $166,713.80 $85,024.04 2026-05-28
276 OTHER Non-maligant Breast Disorders 49 39 — — $21,516.97 $147,736.44 $84,626.71 2026-05-06
MS-DRG 225 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 23 23 $165,498.01 $107,574.00 35% off $23,785.17 $165,498.01 $84,403.99 2026-05-28
867 OTHER Other Infectious And Parasitic Diseases Diagnoses With Mcc 49 39 — — $37,155.06 $131,462.90 $84,308.98 2026-05-06
28 OTHER Spinal Procedures With Mcc 49 39 — — $22,972.40 $144,996.08 $83,984.24 2026-05-06
PX-8130000000 CDM Hc Cadaver Donor Sac-pancreas 38 32 $121,000.00 $78,650.00 35% off $18,634.00 $112,530.00 $83,974.00 2026-03-01
APR-DRG 609-2 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 $97,811.25 $63,577.00 35% off $83,139.56 $83,139.56 $83,139.56 2026-05-28
463 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 49 39 — — $37,228.07 $128,813.85 $83,020.96 2026-05-06
598 OTHER Malignant Breast Disorders With Cc 49 39 — — $20,499.10 $144,877.60 $82,688.35 2026-05-06
MS-DRG 217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 23 $162,028.05 $105,318.00 35% off $22,450.01 $162,028.05 $82,634.31 2026-05-28
MS-DRG 459 OTHER Spinal Fusion Except Cervical With Mcc 23 23 $176,973.88 $115,033.00 35% off $11,754.77 $176,973.88 $82,418.04 2026-05-28
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 49 39 — — $17,841.47 $146,873.07 $82,357.27 2026-05-06
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 24 22 — — $5,600.00 $218,924.50 $82,240.44 2026-05-06
19 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 29 24 — — $9,821.34 $154,582.35 $82,201.85 2026-05-06
399 OTHER Reticuloendothelial & Immunity Disorders Without Cc 49 39 — — $19,766.43 $144,306.11 $82,036.27 2026-05-06
826 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 49 39 — — $43,988.65 $119,963.66 $81,976.15 2026-05-06
783 OTHER Cesarean Section With Sterilization With Mcc 49 39 — — $13,000.00 $149,036.20 $81,018.10 2026-05-06
MS-DRG 490 OTHER Back & Neck Proc Exc Spinal Fusion W Cc/mcc Or Disc Device/neurostim 23 23 $158,640.20 $103,116.00 35% off $9,081.50 $158,640.20 $80,906.50 2026-05-28
MS-DRG 022 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 23 23 $357,603.65 $232,442.00 35% off $33,125.01 $357,603.65 $80,570.45 2026-05-28
MS-DRG 131 OTHER Cranial/facial Procedures W Cc/mcc 23 23 $134,149.40 $87,197.00 35% off $13,861.69 $134,149.40 $80,489.64 2026-05-28
218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 49 39 — — $18,310.56 $141,890.81 $80,100.68 2026-05-06
MS-DRG 360 OTHER Vagina, Cervix & Vulva Procedures 14 14 $99,949.81 $64,967.00 35% off $7,677.90 $99,949.81 $79,959.85 2026-05-28
220 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 49 39 — — $33,253.37 $126,326.30 $79,789.84 2026-05-06
457 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 49 39 — — $22,691.65 $136,884.69 $79,788.17 2026-05-06
APR-DRG 630-4 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 8 $356,448.67 $231,692.00 35% off $24,686.71 $302,981.37 $79,146.20 2026-05-28
MS-DRG 870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 23 23 $205,349.01 $133,477.00 35% off $6,406.39 $205,349.01 $78,813.36 2026-05-28
MS-DRG 011 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 23 23 $225,144.85 $146,344.00 35% off $40,205.58 $225,144.85 $78,800.70 2026-05-28
800 OTHER Splenectomy With Cc 49 39 — — $42,196.69 $114,594.32 $78,395.51 2026-05-06
MS-DRG 234 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 23 23 $151,346.44 $98,375.00 35% off $18,881.51 $151,346.44 $77,186.68 2026-05-28
933 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 49 39 — — $41,908.71 $110,486.12 $76,197.41 2026-05-06
939 OTHER O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 49 39 — — $40,727.09 $111,036.70 $75,881.90 2026-05-06
270 OTHER Other Major Cardiovascular Procedures With Mcc 49 39 — — $29,228.83 $122,422.05 $75,825.44 2026-05-06
876 OTHER O.r. Procedures With Principal Diagnosis Of Mental Illness 4 4 — — $51,780.26 $93,720.96 $75,644.80 2026-05-06
736 OTHER Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 49 39 — — $40,300.92 $109,784.82 $75,042.87 2026-05-06
221 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 49 39 — — $39,341.61 $109,533.51 $74,437.56 2026-05-06
228 OTHER Other Cardiothoracic Procedures With Mcc 49 39 — — $29,829.26 $118,851.70 $74,340.48 2026-05-06
Rx50633021011_C9293_100094_000 OTHER Glucarpidase 1000 Unit Intravenous Solution 1 Eac 46 35 $148,225.00 $96,346.25 35% off $29,860.20 $148,225.00 $74,112.50 2026-05-06
MS-DRG 567 OTHER Stomach, Esophageal & Duodenal Proc Age > 17 W Cc W Major Gi Dx 14 14 $92,298.76 $59,994.00 35% off $6,345.63 $92,298.76 $73,839.01 2026-05-28
APR-DRG 630-3 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 8 $336,744.30 $218,884.00 35% off $24,686.71 $286,232.65 $73,358.55 2026-05-28
MS-DRG 269 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 23 23 $209,018.27 $135,862.00 35% off $38,015.38 $209,018.27 $73,156.39 2026-05-28
245 OTHER Aicd Generator Procedures 49 39 — — $29,516.71 $116,550.18 $73,033.45 2026-05-06
MS-DRG 232 OTHER Coronary Bypass With Ptca Without Mcc 23 23 $194,247.61 $126,261.00 35% off $10,860.26 $194,247.61 $72,874.51 2026-05-28
853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 49 39 — — $25,077.23 $119,281.01 $72,179.12 2026-05-06
656 OTHER Kidney And Ureter Procedures For Neoplasm With Mcc 49 39 — — $38,822.23 $105,321.07 $72,071.65 2026-05-06
834 OTHER Acute Leukemia Without Major O.r. Procedures With Mcc 49 39 — — $12,186.20 $131,826.11 $72,006.15 2026-05-06
799 OTHER Splenectomy With Mcc 49 39 — — $30,141.40 $113,401.98 $71,771.69 2026-05-06
630 OTHER Other Endocrine, Nutritional And Metabolic O.r. Procedures Without Cc/mcc 49 39 — — $24,795.50 $118,481.36 $71,638.43 2026-05-06
MS-DRG 503 OTHER Foot Procedures With Mcc 23 23 $204,187.44 $132,722.00 35% off $32,320.95 $204,187.44 $71,465.60 2026-05-28
424 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 49 39 — — $37,854.73 $105,028.79 $71,441.76 2026-05-06
466 OTHER Revision Of Hip Or Knee Replacement With Mcc 49 39 — — $21,292.35 $121,506.21 $71,399.28 2026-05-06
C1605 HCPCS Hc Aveir Ntap C1605 50 42 $118,705.00 $77,158.25 35% off $18,280.57 $110,395.65 $71,223.00 2026-03-01
406 OTHER Pancreas, Liver And Shunt Procedures With Cc 49 39 — — $38,312.96 $104,069.98 $71,191.47 2026-05-06
271 OTHER Other Major Cardiovascular Procedures With Cc 49 39 — — $38,593.71 $103,686.92 $71,140.32 2026-05-06
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 49 39 — — $38,013.02 $103,535.60 $70,774.31 2026-05-06
MS-DRG 110 OTHER Major Cardiovascular Procedures W Cc 14 14 $85,727.51 $55,723.00 35% off $30,004.63 $85,727.51 $70,725.20 2026-05-28
319 OTHER Other Endovascular Cardiac Valve Procedures With Mcc 49 39 — — $36,561.69 $104,768.28 $70,664.99 2026-05-06
13 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 49 39 — — $37,841.73 $103,321.11 $70,581.42 2026-05-06
616 OTHER Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 49 39 — — $37,672.51 $102,990.88 $70,331.70 2026-05-06
MS-DRG 405 OTHER Pancreas, Liver And Shunt Procedures With Mcc 23 23 $157,405.59 $102,314.00 35% off $5,900.12 $157,405.59 $70,228.23 2026-05-28
APR-DRG 623-3 OTHER Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 8 8 $326,803.00 $212,422.00 35% off $32,783.06 $277,782.55 $70,141.49 2026-05-28
904 OTHER Skin Grafts For Injuries With Cc/mcc 49 39 — — $37,715.63 $102,554.56 $70,135.10 2026-05-06
741 OTHER Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy Without… 49 39 — — $23,072.97 $116,941.76 $70,007.37 2026-05-06
981 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 49 39 — — $26,188.94 $113,380.51 $69,784.73 2026-05-06
MS-DRG 820 OTHER Lymphoma And Leukemia With Major O.r. Procedures With Mcc 23 23 $159,643.33 $103,768.00 35% off $7,329.78 $159,643.33 $69,666.41 2026-05-28
668 OTHER Transurethral Procedures With Mcc 49 39 — — $37,306.79 $101,917.14 $69,611.96 2026-05-06
495 OTHER Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 49 39 — — $37,362.45 $101,709.13 $69,535.79 2026-05-06
MS-DRG 959 OTHER Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 23 23 $197,083.71 $128,104.00 35% off $32,230.04 $197,083.71 $68,979.30 2026-05-28
963 OTHER Other Multiple Significant Trauma With Mcc 49 39 — — $36,986.33 $100,693.23 $68,839.78 2026-05-06
675 OTHER Other Kidney And Urinary Tract Procedures Without Cc/mcc 49 39 — — $28,173.07 $109,020.16 $68,596.62 2026-05-06
MS-DRG 239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 23 23 $195,923.00 $127,350.00 35% off $4,889.98 $195,923.00 $68,573.05 2026-05-28
31 OTHER Ventricular Shunt Procedures With Mcc 49 39 — — $36,346.55 $99,945.81 $68,146.18 2026-05-06
250 OTHER Percutaneous Cardiovascular Procedures Without Coronary Artery Stent With Mcc 49 39 — — $36,771.26 $99,427.88 $68,099.57 2026-05-06
458 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 49 39 — — $32,960.35 $102,984.30 $67,972.32 2026-05-06
809 OTHER Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 49 39 — — $21,387.74 $114,298.48 $67,843.11 2026-05-06
252 OTHER Other Vascular Procedures With Mcc 49 39 — — $36,372.64 $98,587.04 $67,479.84 2026-05-06
541-4 OTHER Vaginal Delivery With Sterilization And/or D&c 8 8 — — $57,142.51 $69,609.96 $67,289.63 2026-05-06
25 OTHER Craniotomy And Endovascular Intracranial Procedures With Mcc 49 39 — — $27,304.41 $106,664.35 $66,984.38 2026-05-06
509 OTHER Arthroscopy 49 39 — — $24,259.20 $109,002.14 $66,630.67 2026-05-06
143 OTHER Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 49 39 — — $35,650.84 $96,908.74 $66,279.79 2026-05-06
MS-DRG 221 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 23 $129,859.38 $84,409.00 35% off $13,232.97 $129,859.38 $66,228.28 2026-05-28
198 OTHER Interstitial Lung Disease Without Cc/mcc 49 39 — — $13,307.60 $119,097.60 $66,202.60 2026-05-06
385 OTHER Inflammatory Bowel Disease With Mcc 49 39 — — $27,825.01 $104,566.00 $66,195.51 2026-05-06
MS-DRG 220 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 23 $111,085.61 $72,206.00 35% off $7,412.57 $111,085.61 $66,160.88 2026-05-28
901 OTHER Wound Debridements For Injuries With Mcc 49 39 — — $26,424.28 $105,667.43 $66,045.85 2026-05-06
MS-DRG 398 OTHER Reticuloendothelial & Immunity Disorders W Cc 14 14 $82,456.32 $53,597.00 35% off $4,045.30 $82,456.32 $65,965.06 2026-05-28
114 OTHER Orbital Procedures Without Cc/mcc 49 39 — — $21,874.30 $108,749.49 $65,311.89 2026-05-06
MS-DRG 045 OTHER Neurological Eye Disorders 14 14 $79,098.57 $51,414.00 35% off $27,684.50 $79,098.57 $65,256.32 2026-05-28
253 OTHER Other Vascular Procedures With Cc 49 39 — — $34,990.40 $94,601.40 $64,795.90 2026-05-06
MS-DRG 463 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 23 23 $126,655.08 $82,326.00 35% off $6,288.52 $126,655.08 $64,594.09 2026-05-28
273 OTHER Percutaneous And Other Intracardiac Procedures With Mcc 49 39 — — $35,292.29 $93,813.92 $64,553.11 2026-05-06
MS-DRG 227 OTHER Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 23 23 $125,713.88 $81,714.00 35% off $12,616.33 $125,713.88 $64,114.08 2026-05-28
665 OTHER Prostatectomy With Mcc 49 39 — — $34,341.15 $93,608.17 $63,974.66 2026-05-06
468 OTHER Revision Of Hip Or Knee Replacement Without Cc/mcc 49 39 — — $35,467.73 $92,478.78 $63,973.25 2026-05-06
236 OTHER Coronary Bypass Without Cardiac Catheterization Without Mcc 49 39 — — $29,663.65 $98,073.58 $63,868.61 2026-05-06
856 OTHER Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 49 39 — — $19,819.29 $107,601.66 $63,710.47 2026-05-06
474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 49 39 — — $19,993.22 $106,960.10 $63,476.66 2026-05-06
499 OTHER Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 49 39 — — $22,055.20 $104,737.30 $63,396.25 2026-05-06
38240 CPT Hc Hpc Allogeneic 101 81 $147,856.00 $96,106.40 35% off $4,977.46 $137,506.08 $63,270.20 2026-03-01
MS-DRG 451 OTHER Poisoning & Toxic Effects Of Drugs Age 0-17 14 14 $78,978.04 $51,336.00 35% off $3,033.80 $78,978.04 $63,182.43 2026-05-28
739 OTHER Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 49 39 — — $31,035.20 $94,944.46 $62,989.83 2026-05-06
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